| NPI | 1578702247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SHARKEY Manager, Professional Fee Billing 443-777-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2013-03-11 |